Provider Demographics
NPI:1760684252
Name:KAUFMAN, SHARA BETH (LCSW, PMH-C)
Entity Type:Individual
Prefix:MS
First Name:SHARA
Middle Name:BETH
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:LCSW, PMH-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3220 SACRAMENTO ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94702-2726
Mailing Address - Country:US
Mailing Address - Phone:916-710-1025
Mailing Address - Fax:
Practice Address - Street 1:3220 SACRAMENTO ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94702-2726
Practice Address - Country:US
Practice Address - Phone:916-710-1025
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-05
Last Update Date:2023-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA235801041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical